License holder summary

TIMOTHY R BLACK is a Idaho Board Of Podiatry - Podiatrist licensed to practice in Idaho. The address on file for TIMOTHY R BLACK is IDAHO FALLS ID 83404. This licensed professional license is current. The license was granted 07/29/2002 and expired on 11/15/2016.

Idaho

Division of Occupational and Professional Licenses

TIMOTHY R BLACK
Idaho Board Of Podiatry - Podiatrist
License number
P - 169
Date granted
07/29/2002
Date expires
11/15/2016
Class
Idaho Board Of Podiatry - Podiatrist
Status
Current
Address
IDAHO FALLS ID 83404
idaholicensing.com
ID 19688730
LAST UPDATED 2024-03-14 19:47:54 UTC

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